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Asthma Control Test
The Asthma Control Test (ACT)* is a quick test for people with asthma 12 years and older. It provides a numerical score to help assess asthma control.

1. In the past 4 weeks, how much of the time did your asthma keep you from getting as much done at work, school or at home?
  [1] All of the time   [2] Most of the time   [3] Some of the time   [4] A little of the time   [5] None of the time *

2. During the past 4 weeks, how often have you had shortness of breath?
  [1] More than once a day   [2] Once a day   [3] 3 to 6 times a week   [4] Once or twice a week   [5] Not at all *

3. During the past 4 weeks, how often did your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) wake you up at night or earlier than usual in the morning?
  [1] 4 or more nights a week   [2] 2 to 3 nights a week   [3] Once a week   [4] Once or twice   [5] Not at all *

4. During the past 4 weeks, how often have you used your rescue inhaler or nebulizer medication (such as albuterol)?
  [1] 3 or more times per day   [2] 1 or 2 times per day   [3] 2 or 3 times per week   [4] Once a week or less   [5] Not at all *

5. How would you rate your asthma control during the past 4 weeks?
  [1] Not controlled at all   [2] Poorly controlled   [3] Somewhat controlled   [4] Well controlled   [5] Completely controlled *

*Asthma Control Test is a trademark of QualityMetric Incorporated.